SHANA A GLIEM


Address: 2710 Prosperity Ave, Ste 200, Fairfax, VA 22031-4358
Phone: 7032802841

SHANA A GLIEM (NPI# 1831506948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831506948
Entity Type Individual
Full Name SHANA A GLIEM
Credential A.P.N.
Practice Address 2710 Prosperity Ave
Ste 200
Fairfax
VA 22031-4358
Practice Telephone 7032802841
Practice Fax Number 7032804773
Mailing Telephone 7032802841
Mailing Fax Number 7032804773
Enumeration Date 2014-07-21
Last Update Date 2020-04-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
0024171876 VA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2710 PROSPERITY AVE
STE 200
City FAIRFAX
State VA
Zip Code 22031-4358

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861579898 Kimberly Ann Matzie Surgery 2710 Prosperity Ave, Suite 200, Fairfax, VA 22031-4357 2006-11-01
1518232685 John David Tillou Surgery 2710 Prosperity Ave, Ste 200, Fairfax, VA 22031 2012-03-21
1164725982 Elizabeth Klaes York Physician Assistant 2710 Prosperity Ave, Suite 200, Fairfax, VA 22031-4357 2010-12-16
1558536789 Caroline Sanchez Surgery 2710 Prosperity Ave, Suite 200, Fairfax, VA 22031-4357 2008-04-29
1407079155 Northern Virginia Eye Surgery Center, LLC Clinic/Center 2710 Prosperity Ave, Suite 150, Fairfax, VA 22031-4320 2007-04-11
1043356843 Katherine Khalifeh Surgery 2710 Prosperity Ave, Suite 200, Fairfax, VA 22031-4357 2007-01-29

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NPI Name Taxonomy Address Enumeration
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1790262020 S Renee Dennis Nurse Practitioner 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 2018-07-19
1013493451 Elizabeth Joan Dwyer Physician Assistant 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 2018-07-18
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376144147 Emily Turner Nurse Practitioner 1099 Main St, Fairfax, VT 05454-9529 2020-11-06
1366041790 Stephanie Ferber Nurse Practitioner 8081 Innovation Park Dr Fl 7, Fairfax, VA 22031-4867 2020-10-16
1578160198 Northern Virginia Holistic Primary Care Nurse Practitioner 10304 Eaton Pl Ste 100, Fairfax, VA 22030-2238 2020-10-06
1821606377 Lindsay Ann Bruno Nurse Practitioner 2921 District Ave Apt 504, Fairfax, VA 22031-2334 2020-07-21
1013534106 Natalia Castro Nurse Practitioner 12817 Hamlet Hill Way, Fairfax, VA 22030-7250 2020-07-06
1629601448 Lia Hoa Van Nurse Practitioner 3811 Glenbrook Rd, Fairfax, VA 22031-3105 2020-02-20
1043850175 Olga Michelle Zaiter Nurse Practitioner 2740 Prosperity Ave Ste 100, Fairfax, VA 22031-4354 2020-01-07
1821650177 Evelyne Kingori Nurse Practitioner 3022 Javier Rd Ste 105a, Fairfax, VA 22031-4646 2019-07-07
1770149726 Laura E. Diaz Nurse Practitioner 3923 Old Lee Hwy Ste 61a, Fairfax, VA 22030-2428 2019-05-15
1295253102 Mildred J Medrano Nurse Practitioner 9229 Arlington Arlington Blvd., Fairfax, VA 22031 2017-08-31
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Competitor

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City FAIRFAX
Zip Code 22031

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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